Caryl P. Sumrall, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R857389 Issued in MS

Practice address

6311 Ridgewood Rd
Jackson, MS 39211-2035

Phone

(601) 952-8398

Fax

(833) 972-5586

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: caryl.sumrall.1@14940.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marathon Health LLC

  • Clinic/Center
  • Jackson, MS
  • NPI 1891543252
  NPD (past)
• University Internal Medicine Assoc LLP

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1083656870
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1003840646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 RIDGEWOOD RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112035",
            "telephone_number": "601-952-8398",
            "fax_number": "833-972-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 RIDGEWOOD RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112035",
            "telephone_number": "601-952-8398",
            "fax_number": "833-972-5586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391571916",
            "country_code": "US",
            "telephone_number": "601-952-8398",
            "fax_number": "833-972-5586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "CARYL",
        "middle_name": "P.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R857389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Summers, LMT
• Frankie Summers Jr.
• Mark William Summers, MD
• Richard L Summers, M.D.
• Summit Counseling
• Judith Patterson Sumrall
• Lauren Nicole Sumrall
• Sunbelt Enterprises of Mississippi Inc
• Mecheri Sundaram, M.D.
• Sunny Days at Home Healthcare, LLC

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.